| Source NDC Code |
|
Target HCPCS Code |
00409-7922-53
|
⇄
|
J7042
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
00409-7922-53
DEXTROSE (LIFECARE,24X250ML) 5%
|
⇄
|
J7060
5% DEXTROSE/WATER (500 ML = 1 UNIT)
|
| Detail Information |
| Relationship Start Date |
09/01/2005 |
| Relationship End Date |
12/19/2019 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00409-7922-53
DEXTROSE 5%-WATER IV SOLN
|
⇄
|
J7070
Infusion, d5w, 1000 cc
|
| Detail Information |
| Relationship Start Date |
11/15/2017 |
| Relationship End Date |
11/01/2020 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|